1.Easy
Shingles (herpes zoster) is caused by:
- AA fungal infection of the nerves
- BA bacterial skin infection
- CReactivation of the chickenpox virus
- DAn allergy to medicines
2.Easy
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
- AAbout 135–145 mmol/L
- BAbout 3.5–5.0 mmol/L
- CAbout 1.5–2.5 mmol/L
- DAbout 6.5–8.0 mmol/L
3.Easy
In the ABCDE approach to an acutely ill patient, what does "A" stand for?
- AAirway
- BAllergies
- CAssessment
- DAnalgesia
4.Medium
Which is a recognised risk factor for postoperative nausea and vomiting?
- ABeing male
- BA short operation under local anaesthetic
- CUse of opioids after surgery
- DBeing a smoker
5.Medium
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- ANon-rebreathe mask with reservoir bag at 15 L/min
- BVenturi mask set to 24%
- CSimple face mask at 5 L/min with the patient sitting up
- DNasal cannula at 2 L/min
6.Medium
Which features suggest Cushing's syndrome?
- ADark skin, low blood pressure, salt craving and a low blood sodium level
- BWeight gain around the trunk, a rounded face and thin, easily bruised skin
- CCoarse facial features and very large hands and feet
- DWeight loss, heat intolerance, tremor and protruding eyes
7.Hard
After a head injury, a patient passes very large volumes of dilute urine and the serum sodium is rising. What is most likely?
- ADiabetes insipidus
- BAcute kidney injury
- CSyndrome of inappropriate ADH secretion
- DDiabetes mellitus
8.Hard
A patient due a blood transfusion is not wearing an identity band. What should the nurse do?
- ACheck the name on the bed and proceed
- BNot start until a correct identity band is in place and identity is confirmed
- CAsk another patient to confirm who the patient is
- DAsk the patient to state their name and date of birth, then start straight away
Answer key
- 1. C · Reactivation of the chickenpox virus
- 2. B · About 3.5–5.0 mmol/L
- 3. A · Airway
- 4. C · Use of opioids after surgery
- 5. A · Non-rebreathe mask with reservoir bag at 15 L/min
- 6. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
- 7. A · Diabetes insipidus
- 8. B · Not start until a correct identity band is in place and identity is confirmed
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